Alumni Mentoring Program Registration Form
Name:
Business Address:
Business Telephone:
Other Telephone:
Fax:
E-Mail:
Law School, if not W&L:
Law Graduation Year:
Undergraduate School:
Current Employer:
Please list other relevant past employers:
If you served as a judicial law clerk, please indicate the judge and court:
Legal Practice Settings: (Please indicate each setting you can discuss with students, whether or not it is your current employment setting.)
federal government
public interest
business, non-legal
state government
military
academia
local / municipal government
private practice
other:
judiciary
in-house / corporate counsel
Primary Subject Matter Area(s) of Law Practice:
administrative / regulatory
education
labor and employment
admiralty / aviation / transportation
elder law
litigation
antitrust
environment, energy, resources
public contracts
bankruptcy
entertainment, sports
public utility
communications
estate, trust, probate
real property
construction
family law
science / technology
corporate, general / advice
general practice
state / local government
corporate, transactional
health care
taxation, ERISA
corporate finance
immigration
tort trial, insurance
criminal justice
individual rights / responsibilities
other:
disability
intellectual property
dispute resolution
international
Size of each Office in which you practice or have practiced, in number of attorneys:
(Please indicate each office size you are able to discuss with students.)
< 3
3 - 10
10 - 25
26 - 50
51 - 100
101 - 250
251- 500
> 500
If possible, we may be able to match you with a student who has indicated a special interest in working with a mentor who has identified him/herself as a member of a special group (e.g. second career students, married students, people of color, gay/lesbian, women, etc.). If you are interested in such a match, please tell us:
Please list any community or bar activities:
Are there any geographic areas you can discuss with a mentee other than the area in which you now practice?
If so, please indicate which cities/states/regions::
How may a mentee contact you? (check as many as apply)
Telephone
E-mail
U.S. mail